DOI QR코드

DOI QR Code

Effect of MAD Snoring Design on Pharyngeal Airway Dimension

하악전방이동 코골이 장치의 수직 교합량이 상기도에 미치는 영향

  • Ra, In-Sil (Department of Convergence Technology, Graduate School of Venture, Hoseo University) ;
  • Lee, Jang-Hoon (Division of Architecture, Civil and Environmental Engineering, Hoseo University)
  • 라인실 (호서 벤처 대학원 융합공학과) ;
  • 이장훈 (호서대학교 건축 토목 환경공학부)
  • Received : 2017.08.23
  • Accepted : 2017.10.20
  • Published : 2017.10.28

Abstract

In this study, a minimum amount of the vertical occlusion was secured differently in each type of mandibular advance devices snoring and Class I malocclusion patients wore these devices. This study analyzes, after the use of devices, a different amount of the vertical occlusion results in a change of the area of upper airway by additional changes such as mandibular position, muscle changes, tongue position. The higher the vertical amount, the area of the upper airway was shown smaller, And if the patient's tongues was prevented from the distal movement, the area of the upper airway had increased, To reduce snoring, doctors should accurately diagnose patients' occlusal relationships and select a MAD snoring that is appropriate for the occlusion. The dental technician who builds the selected device should also consider design settings such as the amount of vertical occlusion, the finish lines, and the thickness of the device to increase the effectiveness of the device.

본 연구에서는 하악전방이동 코골이 장치의 종류에 따라 최소한의 수직 교합량을 각각 다르게 확보하여 1급 교합을 가진 대상이 각 장치를 착용한 뒤, 수직 교합량이 하악의 위치, 근육의 변화, 혀의 위치등을 부가적으로 변화시켜 상기도의 면적에 영향을 주는 지 알아보고자 하였다. 수직량이 높을수록 상기도의 면적은 감소했으며, 혀의 위치를 후방으로 처지지 않게 할수록 상기도의 면적이 증가함을 알 수 있다. 코골이 감소를 위해 의사들은 환자들의 교합관계를 정확하게 진단하여 그 교합에 맞는 하악전방이동 코골이 장치를 선택해야 하고, 선택된 장치를 제작하는 치과 기공사 또한 장치의 효과를 높이기 위해 수직 교합량, 후방연 설정과 장치의 두께 등 디자인 설정을 고려해야 한다.

Keywords

References

  1. I. S. Choi, K. S. Park, "The effects of pain, sleep, and depression on quality of life in elderly people with chronic pain", Journal of Digital Convergence, Vol.15 No.8, pp.289-299, 2017. https://doi.org/10.14400/JDC.2017.15.8.289
  2. M. J. Cho, H. K. Kim, N. R. Oh, "Influence of the number of remaining teeth of on sleep time and stress of adults older than 40years", Journal of Digital Convergence, Vol.14 No.7, pp.225-232, 2016. https://doi.org/10.14400/JDC.2016.14.7.225
  3. M. A. You, N. G. Kang, H. J. Lee, "Relationships between sleep habits, daytime sleepiness and problem behaviors among adolescents", Journal of Digital Convergence, Vol.15 No.5, pp.305-315, 2017. https://doi.org/10.14400/JDC.2017.15.5.305
  4. S. J. Kim, "Prevalence of Snoring and Factors Affecting Habitual Snoringin Korean Adults", Korean Journal of Health Promotion, Vol.13 No.2, pp.43-51. 2013.
  5. K. S. Kim. "Antisnoring Effects of Adjustable Anterior Positioner: Case Study". Korean Journal of Oral Medicine, Vol.37 No.4, pp.213-219, 2012.
  6. J. W. Jung, S. C. Jung, "Oral Appliance Therapy for Snoring and Sleep Apnea", Journal of Korean Dental Association, Vol.43, No.11,pp.713-719, 2005.
  7. C. B. Jo, "Changes of the Pharyngeal Space by Various Oral Appliances for Snoring", Journal of oral medicine and pain Vol.34 No.3, pp.247-256, 2009.
  8. I. H. Tae,"Treatment of Snoring and Obstructive Apnea with Oral Appliance",The Journal of Korean Dental Association, Vol.53 No.4, pp.259-265, 2015.
  9. J. S. Byun, J. K. Jung, "Mandibular Advancement Devices for Treating Snoring and Obstructive Sleep Apnea", Journal of Oral Medicine and Pain, Vol.39 No.2, pp.35-45, 2014. https://doi.org/10.14476/jomp.2014.39.2.35
  10. Y. S. Shim, A. H. Kim, S. Y. An, "The effects and follow-up of early preorthdontic trainer treatment on class II malocclusions", Journal of Digital Convergence, Vol.11, No 4, pp.303-309, 2013. https://doi.org/10.14400/JDPM.2013.11.12.303
  11. C. B. Jo, M. E. Kim, K. S. Kim, "Changes of the Pharyngeal Space by Various Oral Appliances for Snoring", Korean Journal of Oral Medicine, Vol.34 No.3, pp.247-256, 2009.
  12. JoachimNgiam, H. M. Kyung, "Microimplant mandibular advancement (MiMA) therapy for the treatment of snoring and obstructive sleep apnea (OSA)",The Korean Journal of Orthodontics, Vol.40 No.2, pp.115-126, 2010. https://doi.org/10.4041/kjod.2010.40.2.115
  13. T. B. Won, "Contemporary Methods of Upper Airway Evaluation in Obstructive Sleep Apnea Patients", Korean Journal of Otolaryngology-Head and Neck Surgery, Vol.56 No.1, pp.7-13, 2013. https://doi.org/10.3342/kjorl-hns.2013.56.1.7
  14. N. R. Kim, Y. I Kim, S. B. Park, D.S. Hwang. "Three dimensionalcone-beam CT study ofupperairway change aftermandibular setback surgery for skeletalClass IIImalocclusion patients" ,The Korean Journal of Orthodontics, Vol.40 No.3, pp.145-155, 2010. https://doi.org/10.4041/kjod.2010.40.3.145
  15. Y. K. Kim, I. Y. Yoon, J. W. Kim, C. H. Lee, P. Y. Yun, "The Influence of the Amount of Mandibular Advancement in the Application of Mandibular Advancement Device for Obstructive Sleep Apnea Patients", Korean academy of sleep medicine, Vol.18 No.1, pp.29-34, 2011.
  16. Y. I. Kim, S. S. Kim, W. S. Son, S. B. Park, "Pharyngeal airway analysis of different craniofacial morphology using cone-beam computed tomography (CBCT)", The Korean Journal of Orthodontics, Vol.39 No.3, pp.136-145, 2009. https://doi.org/10.4041/kjod.2009.39.3.136